Individual
KATHLEEN P. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
200 PATEWOOD DR, SUITE A12, GREENVILLE, SC 29615-3593
(864) 454-2369
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9710
LICENSE NUMBER
SC
Enumeration date
03/06/2012
Last updated
03/07/2012
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